Perceptions of recurrence risk and behavioural changes among first‐ever and recurrent stroke survivors: A qualitative analysis

Abstract Background Among stroke survivors, the risk of stroke recurrence is high, and stroke survivors' perception of the risk of recurrence is crucial to promote healthy behaviours. Objectives This study aimed to explore the perceptions of stroke survivors about their risk of recurrence and h...

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Autores principales: Beilei Lin, Zhenxiang Zhang, Yunfei Guo, Wenna Wang, Yongxia Mei, Shanshan Wang, Yao Tong, Nazia Shuaib, Daphne Cheung
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Publicado: Wiley 2021
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spelling oai:doaj.org-article:da9ff3d948db418b94022aba6979add72021-11-29T13:50:52ZPerceptions of recurrence risk and behavioural changes among first‐ever and recurrent stroke survivors: A qualitative analysis1369-76251369-651310.1111/hex.13335https://doaj.org/article/da9ff3d948db418b94022aba6979add72021-12-01T00:00:00Zhttps://doi.org/10.1111/hex.13335https://doaj.org/toc/1369-6513https://doaj.org/toc/1369-7625Abstract Background Among stroke survivors, the risk of stroke recurrence is high, and stroke survivors' perception of the risk of recurrence is crucial to promote healthy behaviours. Objectives This study aimed to explore the perceptions of stroke survivors about their risk of recurrence and healthy behavioural modifications. Design A qualitative interview study was carried out. Results We interviewed 19 stroke survivors from 3 hospitals. Thematic analysis showed that the perceptions of recurrence risk and healthy behavioural changes differed between first‐ever and recurrent stroke survivors. Three themes were generated from the data of first‐ever stroke survivors: indifference to and unawareness of the risk of stroke recurrence, the need for professional information support and different awareness of the importance of different healthy behaviours. For first‐relapse stroke patients: worry but feel powerlessness towards recurrent event, accurate information is still warranted, regret of unhealthy behaviour patterns. For the survivors suffered two or more times recurrences: perceived severity of recurrences, increased psychological care need, incorrect perceptions of healthy behaviour. Discussion and Conclusion Stroke survivors with or without recurrence hold different perceptions towards the risk of recurrence and behavioural changes. The need for information related to warning signs, recurrence risk and risk factors remained consistently unmet. The benefits of healthy behaviours could be a double‐edged sword for the prevention of stroke recurrence if the survivors fail to understand these accurately. It is strongly recommended that a specific recurrence risk communication tool and related health education plan be explored on the basis of the number of times patients have experienced stroke recurrence to inform secondary prevention of stroke in the future. Patient/Public Contribution The patients were involved in the formulation of interview questions and conduct of this study. No public was involved in this study.Beilei LinZhenxiang ZhangYunfei GuoWenna WangYongxia MeiShanshan WangYao TongNazia ShuaibDaphne CheungWileyarticlehealthy behaviourperceptionqualitativerecurrent riskstrokeMedicine (General)R5-920Public aspects of medicineRA1-1270ENHealth Expectations, Vol 24, Iss 6, Pp 1962-1970 (2021)
institution DOAJ
collection DOAJ
language EN
topic healthy behaviour
perception
qualitative
recurrent risk
stroke
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle healthy behaviour
perception
qualitative
recurrent risk
stroke
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Beilei Lin
Zhenxiang Zhang
Yunfei Guo
Wenna Wang
Yongxia Mei
Shanshan Wang
Yao Tong
Nazia Shuaib
Daphne Cheung
Perceptions of recurrence risk and behavioural changes among first‐ever and recurrent stroke survivors: A qualitative analysis
description Abstract Background Among stroke survivors, the risk of stroke recurrence is high, and stroke survivors' perception of the risk of recurrence is crucial to promote healthy behaviours. Objectives This study aimed to explore the perceptions of stroke survivors about their risk of recurrence and healthy behavioural modifications. Design A qualitative interview study was carried out. Results We interviewed 19 stroke survivors from 3 hospitals. Thematic analysis showed that the perceptions of recurrence risk and healthy behavioural changes differed between first‐ever and recurrent stroke survivors. Three themes were generated from the data of first‐ever stroke survivors: indifference to and unawareness of the risk of stroke recurrence, the need for professional information support and different awareness of the importance of different healthy behaviours. For first‐relapse stroke patients: worry but feel powerlessness towards recurrent event, accurate information is still warranted, regret of unhealthy behaviour patterns. For the survivors suffered two or more times recurrences: perceived severity of recurrences, increased psychological care need, incorrect perceptions of healthy behaviour. Discussion and Conclusion Stroke survivors with or without recurrence hold different perceptions towards the risk of recurrence and behavioural changes. The need for information related to warning signs, recurrence risk and risk factors remained consistently unmet. The benefits of healthy behaviours could be a double‐edged sword for the prevention of stroke recurrence if the survivors fail to understand these accurately. It is strongly recommended that a specific recurrence risk communication tool and related health education plan be explored on the basis of the number of times patients have experienced stroke recurrence to inform secondary prevention of stroke in the future. Patient/Public Contribution The patients were involved in the formulation of interview questions and conduct of this study. No public was involved in this study.
format article
author Beilei Lin
Zhenxiang Zhang
Yunfei Guo
Wenna Wang
Yongxia Mei
Shanshan Wang
Yao Tong
Nazia Shuaib
Daphne Cheung
author_facet Beilei Lin
Zhenxiang Zhang
Yunfei Guo
Wenna Wang
Yongxia Mei
Shanshan Wang
Yao Tong
Nazia Shuaib
Daphne Cheung
author_sort Beilei Lin
title Perceptions of recurrence risk and behavioural changes among first‐ever and recurrent stroke survivors: A qualitative analysis
title_short Perceptions of recurrence risk and behavioural changes among first‐ever and recurrent stroke survivors: A qualitative analysis
title_full Perceptions of recurrence risk and behavioural changes among first‐ever and recurrent stroke survivors: A qualitative analysis
title_fullStr Perceptions of recurrence risk and behavioural changes among first‐ever and recurrent stroke survivors: A qualitative analysis
title_full_unstemmed Perceptions of recurrence risk and behavioural changes among first‐ever and recurrent stroke survivors: A qualitative analysis
title_sort perceptions of recurrence risk and behavioural changes among first‐ever and recurrent stroke survivors: a qualitative analysis
publisher Wiley
publishDate 2021
url https://doaj.org/article/da9ff3d948db418b94022aba6979add7
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